Etacid

Etacid

mometasone

Manufacturer:

World Medicine

Distributor:

International Med
Full Prescribing Info
Contents
Mometasone furoate.
Description
Each actuation contains 50 mcg Mometasone furoate.
Excipients/Inactive Ingredients: Microcrystalline cellulose and carmellose sodium, sodium citrate dehydrate, glycerol, citric acid monohydrate, polysorbate 80, benzalkonium chloride and purified water.
Action
Etacid Nasal Spray contains mometasone furoate, one of a group of medicines called corticosteroids. Mometasone furoate should not be confused with "anabolic" steroids misused by some athletes and taken as tablets or injections. When tiny amounts of mometasone furoate are sprayed into the nose, it can help to relieve inflammation, sneezing, itching and a blocked up or runny nose.
Indications/Uses
Etacid is used in adults and children aged 3 and older to treat the symptoms of hayfever (also called seasonal allergic rhinitis) and perennial rhinitis.
In adults aged 18 and over, Etacid is also used to treat nasal polyps.
Hayfever, which occurs at certain times of the year, is an allergic reaction caused by breathing in pollen from trees, grasses, weeds and also moulds and fungal spores. Perennial rhinitis occurs throughout the year and symptoms can be caused by a sensitivity to a variety of things including house dust mite, animal hair (or dander), feathers and certain foods. These allergies cause a runny nose and sneezing and make the lining of the nose swell, causing a stuffy blocked-up feeling. Etacid reduces the swelling and irritation in the nose and so relieves sneezing, itching and a blocked-up or runny nose.
Nasal polyps are small growths on the lining of the nose and usually affect both nostrils. The main symptom is a blocked feeling in the nose which may affect breathing through the nose. Etacid reduces the inflammation in the nose, causing the polyps to gradually shrink, thereby relieving a blocked feeling in the nose which may affect breathing through the nose.
Dosage/Direction for Use
Always use Etacid exactly as prescribed by the doctor. The patient should check with the doctor or pharmacist if he/she is not sure. Do not use a larger dose or use the spray more often or for longer than advised by the doctor.
Instructions for Proper Usage and Dose/Administration: Hayfever and perennial rhinitis: Adults and children over 12 years old: The usual dose is two sprays into each nostril once a day for adults and children over the age of 12 years.
Once the symptoms are under control, the doctor may advise to decrease the dose.
If the patient does not start to feel any better, the patient should see the doctor and he may tell the patient to increase the dose to the maximum daily dose of four sprays into each nostril once a day.
Children aged 3 to 11 years: The usual dose is one spray into each nostril once daily.
In some patients Etacid begins to relieve symptoms within 12 hours after the first dose; however full benefit of treatment may not be seen in the first two days. Therefore, the patient should continue regular use to achieve full benefit of treatment.
If the patient or the child suffers badly from hayfever, the doctor may tell to start using Etacid some days before the start of the pollen season, as this will help to prevent the hayfever symptoms from occurring.
Nasal Polyps: The usual starting dose for adults aged 18 and over is two sprays into each nostril once daily.
If symptoms are not controlled after 5 to 6 weeks, the dose may be increased to two sprays in each nostril twice daily. Once symptoms are under control, the doctor should ask to reduce the dose.
If no improvement in symptoms is seen after 5 to 6 weeks of twice daily administration, the patient should contact the doctor to discuss other treatments to replace Etacid.
Route and method of administration: Preparing the nasal spray for use: The Etacid Nasal Spray has a dust cap which protects the nozzle and keeps it clean. Remember to take this off before using the spray and to replace it after use.
If the patient is using the spray for the first time the patient needs to 'prime' the bottle by pumping the spray 10 times until a fine mist is produced: 1. Gently shake the bottle.
2. Put the forefinger and middle finger either side of the nozzle and the thumb underneath the bottle. Do not pierce the nasal applicator.
3. Point the nozzle away and then press down with the fingers to pump the spray.
If the patient has not used the spray for 14 days or more, the patient needs to "re-prime" the bottle by pumping the spray 2 times until a fine mist is produced.
If the patient forgets to use ETACID: If the patient forgets to use the nasal spray at the right time, use it as soon as remembered, then carry on as before. Do not take a double dose to make up for a forgotten dose.
If the patient stops using ETACID: In some patients Etacid should begin to relieve symptoms 12 hours after the first dose; however full benefit of treatment may not be seen for up to two days. It is very important that the patient uses the nasal spray regularly. Do not stop the treatment even if feeling better unless advised by the doctor.
If the patient has any further questions on the use of this product, ask the doctor or pharmacist.
Overdosage
Tell the doctor if the patient accidentally uses more than the prescribed.
If the patient uses steroids for a long time or in large amounts they may, rarely, affect some of the hormones. In children this may affect growth and development.
Contraindications
Do not use Etacid: If the patient is allergic (hypersensitive) to mometasone furoate, microcrystalline cellulose, carmellose sodium, sodium citrate dihydrate, glycerol, citric acid monohydrate, polysorbate 80, benzalkonium chloride and purified water of Etacid.
If the patient has an infection in the nose. The patient should wait until the infection is resolved before the patient starts using the nasal spray.
If the patient has recently had an operation on the nose or the patient has injured the nose. The patient should wait until it has healed before the patient starts using the nasal spray.
Special Precautions
Take special care with ETACID: if the patient has or has ever had tuberculosis; if the patient has any other type of infection; if the patient is taking other corticosteroid medicines, either by mouth or by injection; if the patient has cystic fibrosis.
While using Etacid, avoid coming into contact with anyone who has measles or chickenpox. The patient should tell the doctor if the patient does come into contact with anyone who is suffering from these infections.
Etacid contains benzalkonium chloride: Etacid contains benzalkonium chloride which may cause nasal irritation.
Driving and using machines: Not known.
Use In Pregnancy & Lactation
Pregnancy: Ask the doctor or pharmacist for advice before taking medicine.
If the patient is pregnant or planning to have a child, she should not use the Etacid unless the doctor has been consulted.
Like the other corticosteroid preparation, while deciding to use Etacid, possible damages on maternal and fetus should be compared with the expected benefits.
Consult the doctor if the patient realizes that she is pregnant, during treatment.
Breastfeeding: Ask the doctor or pharmacist for advice before taking medicine.
If the patient is breastfeeding or planning to breastfeed, she should consult the doctor.
Like the other corticosteroid preparation, while deciding to use Etacid, possible damages on maternal and infant should be compared with the expected benefits.
Side Effects
Like all medicines, Etacid can cause side effects, although not everybody gets them.
Immediate hypersensitivity (allergic) reactions may occur after use of this product. These reactions may be severe. The patient should stop taking Etacid and get immediate medical help if experiencing symptoms such as: swollen face, tongue or pharynx; trouble swallowing; hives; wheezing or trouble breathing.
When corticosteroid nasal sprays are used at high doses for long periods of time, side effects may occur due to the drug being absorbed in the body.
Other side effects: Most people do not have any problems after using the nasal spray. However, some people, after using Etacid or other corticosteroid nasal sprays, may find that they suffer from: Common side effects (may affect up to 1 in 10 people): headache; sneezing; nose bleeds [occurred very commonly (may affect more than 1 in 10 people) in people with nasal polyps receiving Etacid two sprays in each nostril twice a day]; sore nose or throat; ulcers in the nose; respiratory tract infection.
Not known (frequency cannot be estimated from the available data): increase in pressure in the eye (glaucoma) and/or cataracts causing visual disturbances; damage to the partition in the nose which separates the nostrils; changes in taste and smell; difficulty in breathing and/or wheezing.
Reporting of side effects: If the patient notices any side effects that are not listed, please inform the doctor, pharmacist or nurse.
Drug Interactions
If the patient is taking other corticosteroid medicines for allergy, either by mouth or injection, the doctor may advise the patient to stop taking them once the patient begins using Etacid. A few people may find that once they discontinue oral or injected corticosteroids they suffer from some undesirable effects, such as joint or muscular pain, weakness and depression. If these occur the patient should inform the doctor who will advise about continuing use of the nasal spray. The patient may also seem to develop other allergies, such as itchy, watering eyes or patches of red and itchy skin. If the patient develops any of these effects and the patient is worried, the patient should see the doctor.
Tell the doctor or pharmacist if the patient is taking or took recently any drugs with or without prescription.
Caution For Usage
How to use the nasal spray: 1. Shake the bottle gently and remove the dust cap.
2. Gently blow the nose.
3. Close one nostril and put the nozzle into the other nostril.
Tilt the head forward slightly, keeping the bottle upright.
4. Start to breathe in gently or slowly through the nose and whilst breathing in squirt a spray of fine mist into the nose by pressing down ONCE with the fingers.
5. Breathe out through the mouth. Repeat step 4 to inhale a second spray in the same nostril if applicable.
6. Remove the nozzle from this nostril and breathe out through the mouth.
7. Repeat steps 3 to 6 for the other nostril.
After using the spray, wipe the nozzle carefully with a clean handkerchief or tissue and replace the dust cap.
Cleaning the nasal spray: It is important to clean the nasal spray regularly, otherwise it may not work properly. Remove the dust cap and gently pull off the nozzle. Wash the nozzle and dust cap in warm water and then rinse under a running tap. Do not try to unblock the nasal applicator by inserting a pin or other sharp object as this will damage the applicator and cause not to get the right dose of medicine. Allow to dry in a warm place. Push the nozzle back onto the bottle and replace the dust cap. The spray will need to be re-primed with 2 sprays when first used after cleaning.
Storage
Keep it in original package.
Store below 25°C at room temperature. Do not freeze it.
The spray should be used within 2 months of first use.
Do not use if carton or vial is open or torn.
Do not use Etacid if the patient notices defects on product and/or packaging.
Medicines should not be disposed of via wastewater or household waste. Ask the pharmacist how to dispose of medicines no longer required. These measures will help to protect the environment.
ATC Classification
R01AD09 - mometasone ; Belongs to the class of topical corticosteroids used for prophylaxis and treatment of allergic rhinitis.
Presentation/Packing
Nasal spray 0.05% w/w x 1's.
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